Dr Todd Alan Derksen, DPM - Medicare Podiatrist in Appleton, WI

Dr Todd Alan Derksen, DPM is a medicare enrolled "Podiatrist - Foot & Ankle Surgery" provider in Appleton, Wisconsin. He graduated from medical school in 2005 and has 19 years of diverse experience with area of expertise as Podiatry. He is a member of the group practice Northeast Wisconsin Foot And Ankle Assoc Sc and his current practice location is 1301 E Northland Ave, Ste B, Appleton, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (920) 731-1999.

Dr Todd Alan Derksen is licensed to practice in Wisconsin (license number 953-25) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053578682.

Contact Information

Dr Todd Alan Derksen, DPM
1301 E Northland Ave, Ste B,
Appleton, WI 54911
(920) 731-1999
(920) 731-3729



Healthcare Provider's Profile

Full NameDr Todd Alan Derksen
GenderMale
SpecialityPodiatry
Experience19 Years
Location1301 E Northland Ave, Appleton, Wisconsin
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Todd Alan Derksen graduated from medical school in 2005
  NPI Data:
  • NPI Number: 1053578682
  • Provider Enumeration Date: 05/21/2008
  • Last Update Date: 08/19/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5496821068
  • Enrollment ID: I20080904000627

Medical Identifiers

Medical identifiers for Dr Todd Alan Derksen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053578682NPI-NPPES
43244900MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
213ES0103XPodiatrist - Foot & Ankle Surgery 953-25 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Thedacare Regional Medical Center - Appleton IncAppleton, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northeast Wisconsin Foot And Ankle Assoc Sc85270008504

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Todd Alan Derksen allows following entities to bill medicare on his behalf.
Provider NameNortheast Wisconsin Foot And Ankle Assoc Sc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1093716177
PECOS PAC ID: 8527000850
Enrollment ID: O20050526000714

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Todd Alan Derksen is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Todd Alan Derksen, DPM
1301 E Northland Ave, Ste B,
Appleton, WI 54911

Ph: (920) 702-5484
Dr Todd Alan Derksen, DPM
1301 E Northland Ave, Ste B,
Appleton, WI 54911

Ph: (920) 731-1999

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Podiatrist in Appleton, WI

Dr. Theresa Lynn Schinke, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1301 E Northland Ave, Ste B, Appleton, WI 54911
Phone: 920-731-1999    Fax: 920-731-3729
Dr. Timothy Kevin Tougas, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1301 E Northland Ave, Suite B, Appleton, WI 54911
Phone: 920-731-1999    Fax: 920-731-3729
Northeast Wisconsin Foot And Ankle Assoc., S.c.
Podiatrist
Medicare: Medicare Enrolled
Practice Location: 1301 E Northland Ave, Ste B, Appleton, WI 54911
Phone: 920-731-1999    Fax: 920-731-3729
Neal Diabetic Foot And Ankle Center Llc
Podiatrist
Medicare: Medicare Enrolled
Practice Location: W2654 County Road Kk, Appleton, WI 54915
Phone: 920-830-2221    Fax: 920-257-2180
Barry Ellis Erdman, DPM
Podiatrist
Medicare: Not Enrolled in Medicare
Practice Location: 2005 S Lake Park Rd, Appleton, WI 54915
Phone: 920-882-9990    Fax: 920-882-9544
Marissa Mcnelly Le, DPM
Podiatrist
Medicare: Accepting Medicare Assignments
Practice Location: 1301 E Northland Ave Ste B, Appleton, WI 54911
Phone: 207-311-9999    Fax: 920-731-3729

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